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1841077443
MIN JI SONG
STOCKTON, CA
NPI
1841077443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 24535)
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
MIN JI SONG OTD
534 E PINE ST
STOCKTON, CA 95204-5534
Phone number: 209-463-5800
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Mailing Address
MIN JI SONG OTD
3815 VENICE PL
CARMICHAEL, CA 95608-2774
Phone number: 424-400-4945
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